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MIRCEA TUDOR IACOB M.D. NPI 1588617856


NPI Information

NPI: 1588617856
Provider Name: MIRCEA TUDOR IACOB, M.D.
Classification: Psychiatry & Neurology - 2084V0102X
Entity Type: Individual

Specialization: Vascular Neurology

PECOS Registration: Yes

Address:
25 N WINFIELD RD
WINFIELD, IL
ZIP 60190
Phone: (630) 933-4056
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Mircea Tudor Iacob, M.D. is a vascular neurology psychiatry neurology in Winfield, IL with 25 years of experience. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. Mircea Tudor Iacob, M.D. NPI is 1588617856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 N WINFIELD RD
WINFIELD, IL
ZIP 60190-295
Phone: (630) 933-4056
Fax: (630) 933-4057

The NPI 1588617856 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • Measurement and recording of brain wave (eeg) activity, awake and asleep (HCPCS:95819)
  • Continuous measurement of brain wave activity with video (veeg), 12-26 hours, with health care professional analysis, interpretation and report (HCPCS:95720)
  • Nerve transmission studies, 7-8 studies (HCPCS:95910)
  • Nerve transmission studies, 9-10 studies (HCPCS:95911)

The enumeration date for this NPI number is 5/18/2006 and was last updated on 12/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist036-113093ILLINOISNo
22084N0400XPsychiatry & NeurologyNeurology036113093ILLINOISNo
32084V0102XPsychiatry & NeurologyVascular Neurology036113093ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11635130OTHERILLINOISBCBS
2206147084OTHERILLINOISMEDICARE PTAN (INDIVIDUAL)
3I53100MEDICARE UPINILLINOIS
4CE8792OTHERILLINOISRAILROAD MEDICARE PTAN (GROUP)
5036113093MEDICAIDILLINOIS
6211496MEDICARE PINILLINOIS
7P01090248OTHERILLINOISRAILROAD MEDICARE PTAN (INDIVIDUAL)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.